In this episode, we discuss the problem with low back pain and why physical therapy should be at the forefront for treating it.
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Time stamps
0:00:00- Intro
0:01:10- common misconceptions about back pain, limitations of an MD visit for back pain
0:05:52- the problem with imaging for back pain and direct access laws (it is possible to see a PT before seeing an MD)
0:19:50- reversing the pyramid of back pain treatment to a PT centered model, seeing imaging as “static snapshots in time”
0:22:30- who should actually go for imaging
0:27:00- scary language and association with adverse outcomes, what the US health care system is designed for
0:30:09- studies showing that early imaging does not change outcomes and does not correlate with clinical symptoms, unnecessary referrals to surgery
0:40:00- the under-utilization of physical therapy, incidental findings on imaging (disc herniation, arthritis, spinal stenosis)
0:48:06- which medications actually work for back pain, injections, their side effects and lack of long term benefit
0:54:20- the root cause of back pain, the bio-psycho-social approach to back pain
1:00:38- Outro
Studies
Links
Work by Peter O'Sullivan: https://www.iasp-pain.org/publications/relief-news/article/time-to-put-away-the-magic-bullet-theory-of-back-pain-peter-osullivan-talks/